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Re:Who profits most from America's baffling health-care system? by refurb on Sunday October 22, 2023 @08:18PM (#37980257)
Agree. This is a pretty terrible article. Random "facts" that quote big revenue numbers tell you almost nothing. Vertical integration tells you nothing.

It's a relatively old analysis (2009), but McKinsey did some research that I think highlights some pretty important differences in the US healthcare system that actually points to where the money is going.

https://www.mckinsey.com/~/media/mckinsey/dotcom/client_serv...

If you look at Exhibit 2, page 4, they basically compare US spending, as a percentage of GDP, and breaks down the difference between price and volume. The result are some very interesting facts that run counter to common belief:

- health administration and insurance is a tiny contribution to high costs, accounting for about 5% of excess spending

- spending on pharmaceuticals and "non-durable" (supplies) is pretty small and only contributes to 5% of excess spending

- in-patient care (where the patient stays in the hospital overnight) spending is only 10% higher than the OECD average relative to GDP

- 68% of the higher spending is out-patient care (where the patient doesn't stay in the hospital overnight); price is a factor here, but in reality, Americans get way more out-patient procedures than other countries

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